Provider Demographics
NPI:1013133768
Name:WALN, OLGA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:WALN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VOLHA
Other - Middle Name:
Other - Last Name:WALN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 802
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-9551
Mailing Address - Fax:713-790-2004
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 802
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-9551
Practice Address - Fax:713-790-2004
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP30942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GS986OtherBCBS
TXP01483197OtherRR MEDICARE
TXP01483197OtherRR MEDICARE
TX297014ZSWDMedicare PIN